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Resident Perspectives on Post-Rounds Communication With Families Using Diverse Languages
Alexandra Lieberman1,2, Christopher J Russell1, Lynne Huffman3
1Division of Pediatric Hospital Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California.
Pediatric residents find post-rounds communication valuable but face challenges, especially with families using languages other than English (LOE). Improving interpreter access and training can enhance equitable communication.
Area of Science:
- Medical Education
- Health Communication
- Qualitative Research
Background:
- Post-rounds communication is crucial for family-centered care.
- Pediatric residents face communication barriers, particularly with non-English speaking families.
Purpose of the Study:
- To explore pediatric residents' experiences with post-rounds communication.
- To identify barriers and facilitators for families using languages other than English (LOE).
Main Methods:
- Qualitative study using semi-structured interviews with 17 pediatric residents.
- Inductive thematic analysis of transcribed interviews.
- Purposive sampling from inpatient general pediatrics and subspecialty teams.
Main Results:
- Post-rounds communication is meaningful but inconsistently prioritized due to clinical demands.
- Communication challenges are amplified for families using LOE, leading to disparities.
- Residents suggested improved interpreter access, training, and request processes.
Conclusions:
- Residents value post-rounds communication, but clinical demands impede its consistent execution.
- Language barriers exacerbate communication disparities for families using LOE.
- System-wide strategies are needed to support equitable communication.
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